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For example, a powdered antibiotic or peptide vial instructions may say add X mL sterile water for injection. In many cases, practitioners use bacteriostatic water (when allowed) so that one vial can serve multiple doses

The most commonly reported side effects include: Nausea Diarrhoea Vomiting Mild stomach discomfort Constipation In TRIUMPH-1, treatment discontinuation due to adverse events rose with dose: approximately 4.1% at 4 mg, 6.9% at 9 mg, and 11.3% at 12 mg , compared with 4.9% in the placebo group

Intravenous administration bypasses this limitation but requires medical supervision, carries infection risk, and lacks robust efficacy data for skin lightening in published trials

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